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This is VAERS ID 152669

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 152669
VAERS Form:
Age:26.0
Sex:Male
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2000-06-01
Entered:2000-06-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: ENGERIX-B / SMITHKLINE - / 0 - / IM

Administered by: Other      Purchased by: Unknown
Symptoms: ANEMIA, THROMBOCYTOPENIA

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: Pt was a high risk (nos).
Allergies:
Diagnostic Lab Data: The pt tested negative for antibodies (not specified). He was tested 3 days, post vax, and was found to have a low red blood cell count and a low thrombocyte count.
CDC 'Split Type':

Write-up: The pt was considered a high risk (nos). According to the physician, he did not have cancer. The pt received Engerix-B vaccination (date, dose and series unspecified). It is unclear whether or not the pt developed antigenemia or aplastic anemia. According"to the reporting physician, the pt needed a bone marrow transplant. Treatment of the adverse event was not specified. It was reported that ""all other therapies failed"" (nos). The pt died. All of this had occurred within ten days. The most recent informa


Changed on 12/30/2006

VAERS ID: 152669 Before After
VAERS Form:
Age:26.0
Sex:Male
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2000-06-01
Entered:2000-06-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: ENGERIX-B / SMITHKLINE - / 0 - / IM

Administered by: Other      Purchased by: Unknown
Symptoms: ANEMIA, THROMBOCYTOPENIA

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: Pt was a high risk (nos).
Allergies:
Diagnostic Lab Data: The pt tested negative for antibodies (not specified). He was tested 3 days, post vax, and was found to have a low red blood cell count and a low thrombocyte count.
CDC 'Split Type':

Write-up: The pt was considered a high risk (nos). According to the physician, he did not have cancer. The pt received Engerix-B vaccination (date, dose and series unspecified). It is unclear whether or not the pt developed antigenemia or aplastic anemia. According"to the reporting physician, the pt needed a bone marrow transplant. Treatment of the adverse event was not specified. It was reported that ""all /"all other therapies failed"" failed/" (nos). The pt died. All of this had occurred within ten days. The most recent informa


Changed on 12/8/2009

VAERS ID: 152669 Before After
VAERS Form:
Age:26.0
Sex:Male
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2000-06-01
Entered:2000-06-07 2000-06-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: ENGERIX-B HEP B (ENGERIX-B) / SMITHKLINE SMITHKLINE BEECHAM - / 0 - / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Anaemia, Thrombocytopenia, ANEMIA, THROMBOCYTOPENIA

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: Pt was a high risk (nos).
Allergies:
Diagnostic Lab Data: The pt tested negative for antibodies (not specified). He was tested 3 days, post vax, and was found to have a low red blood cell count and a low thrombocyte count.
CDC 'Split Type': (blank) 20000161881

Write-up: The pt was considered a high risk (nos). According to the physician, he did not have cancer. The pt received Engerix-B vaccination (date, dose and series unspecified). It is unclear whether or not the pt developed antigenemia or aplastic anemia. According"to According to the reporting physician, the pt needed a bone marrow transplant. Treatment of the adverse event was not specified. It was reported that /"all "all other therapies failed/" failed" (nos). The pt died. All of this had occurred within ten days. The most recent informa information received on 5/24/2000, reports that the pt died (date and causality of death were not specified). Additional information has been requested.


Changed on 5/14/2017

VAERS ID: 152669 Before After
VAERS Form:
Age:26.0
Sex:Male
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2000-06-01
Entered:2000-06-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM - / 0 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Anaemia, Red blood cell count decreased, Thrombocytopenia

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: Pt was a high risk (nos).
Allergies:
Diagnostic Lab Data: The pt tested negative for antibodies (not specified). He was tested 3 days, post vax, and was found to have a low red blood cell count and a low thrombocyte count.
CDC 'Split Type': 20000161881

Write-up: The pt was considered a high risk (nos). According to the physician, he did not have cancer. The pt received Engerix-B vaccination (date, dose and series unspecified). It is unclear whether or not the pt developed antigenemia or aplastic anemia. According to the reporting physician, the pt needed a bone marrow transplant. Treatment of the adverse event was not specified. It was reported that "all other therapies failed" (nos). The pt died. All of this had occurred within ten days. The most recent information received on 5/24/2000, reports that the pt died (date and causality of death were not specified). Additional information has been requested.


Changed on 9/14/2017

VAERS ID: 152669 Before After
VAERS Form:(blank) 1
Age:26.0
Sex:Male
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2000-06-01
Entered:2000-06-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM - / 0 1 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Anaemia, Red blood cell count decreased, Thrombocytopenia

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: Pt was a high risk (nos).
Allergies:
Diagnostic Lab Data: The pt tested negative for antibodies (not specified). He was tested 3 days, post vax, and was found to have a low red blood cell count and a low thrombocyte count.
CDC 'Split Type': 20000161881

Write-up: The pt was considered a high risk (nos). According to the physician, he did not have cancer. The pt received Engerix-B vaccination (date, dose and series unspecified). It is unclear whether or not the pt developed antigenemia or aplastic anemia. According to the reporting physician, the pt needed a bone marrow transplant. Treatment of the adverse event was not specified. It was reported that "all other therapies failed" (nos). The pt died. All of this had occurred within ten days. The most recent information received on 5/24/2000, reports that the pt died (date and causality of death were not specified). Additional information has been requested.


Changed on 2/14/2018

VAERS ID: 152669 Before After
VAERS Form:1
Age:26.0
Sex:Male
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2000-06-01
Entered:2000-06-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM - / 1 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Anaemia, Red blood cell count decreased, Thrombocytopenia

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: Pt was a high risk (nos).
Allergies:
Diagnostic Lab Data: The pt tested negative for antibodies (not specified). He was tested 3 days, post vax, and was found to have a low red blood cell count and a low thrombocyte count.
CDC 'Split Type': 20000161881

Write-up: The pt was considered a high risk (nos). According to the physician, he did not have cancer. The pt received Engerix-B vaccination (date, dose and series unspecified). It is unclear whether or not the pt developed antigenemia or aplastic anemia. According to the reporting physician, the pt needed a bone marrow transplant. Treatment of the adverse event was not specified. It was reported that "all other therapies failed" (nos). The pt died. All of this had occurred within ten days. The most recent information received on 5/24/2000, reports that the pt died (date and causality of death were not specified). Additional information has been requested.


Changed on 6/14/2018

VAERS ID: 152669 Before After
VAERS Form:1
Age:26.0
Sex:Male
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2000-06-01
Entered:2000-06-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM - / 1 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Anaemia, Red blood cell count decreased, Thrombocytopenia

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: Pt was a high risk (nos).
Allergies:
Diagnostic Lab Data: The pt tested negative for antibodies (not specified). He was tested 3 days, post vax, and was found to have a low red blood cell count and a low thrombocyte count.
CDC 'Split Type': 20000161881

Write-up: The pt was considered a high risk (nos). According to the physician, he did not have cancer. The pt received Engerix-B vaccination (date, dose and series unspecified). It is unclear whether or not the pt developed antigenemia or aplastic anemia. According to the reporting physician, the pt needed a bone marrow transplant. Treatment of the adverse event was not specified. It was reported that "all other therapies failed" (nos). The pt died. All of this had occurred within ten days. The most recent information received on 5/24/2000, reports that the pt died (date and causality of death were not specified). Additional information has been requested.


Changed on 8/14/2018

VAERS ID: 152669 Before After
VAERS Form:1
Age:26.0
Sex:Male
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2000-06-01
Entered:2000-06-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM - / 1 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Anaemia, Red blood cell count decreased, Thrombocytopenia

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: Pt was a high risk (nos).
Allergies:
Diagnostic Lab Data: The pt tested negative for antibodies (not specified). He was tested 3 days, post vax, and was found to have a low red blood cell count and a low thrombocyte count.
CDC 'Split Type': 20000161881

Write-up: The pt was considered a high risk (nos). According to the physician, he did not have cancer. The pt received Engerix-B vaccination (date, dose and series unspecified). It is unclear whether or not the pt developed antigenemia or aplastic anemia. According to the reporting physician, the pt needed a bone marrow transplant. Treatment of the adverse event was not specified. It was reported that "all other therapies failed" (nos). The pt died. All of this had occurred within ten days. The most recent information received on 5/24/2000, reports that the pt died (date and causality of death were not specified). Additional information has been requested.


Changed on 9/14/2018

VAERS ID: 152669 Before After
VAERS Form:1
Age:26.0
Sex:Male
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2000-06-01
Entered:2000-06-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM - / 1 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Anaemia, Red blood cell count decreased, Thrombocytopenia

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: Pt was a high risk (nos).
Allergies:
Diagnostic Lab Data: The pt tested negative for antibodies (not specified). He was tested 3 days, post vax, and was found to have a low red blood cell count and a low thrombocyte count.
CDC 'Split Type': 20000161881

Write-up: The pt was considered a high risk (nos). According to the physician, he did not have cancer. The pt received Engerix-B vaccination (date, dose and series unspecified). It is unclear whether or not the pt developed antigenemia or aplastic anemia. According to the reporting physician, the pt needed a bone marrow transplant. Treatment of the adverse event was not specified. It was reported that "all other therapies failed" (nos). The pt died. All of this had occurred within ten days. The most recent information received on 5/24/2000, reports that the pt died (date and causality of death were not specified). Additional information has been requested.


Changed on 10/14/2018

VAERS ID: 152669 Before After
VAERS Form:1
Age:26.0
Sex:Male
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2000-06-01
Entered:2000-06-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM - / 1 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Anaemia, Red blood cell count decreased, Thrombocytopenia

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: Pt was a high risk (nos).
Allergies:
Diagnostic Lab Data: The pt tested negative for antibodies (not specified). He was tested 3 days, post vax, and was found to have a low red blood cell count and a low thrombocyte count.
CDC 'Split Type': 20000161881

Write-up: The pt was considered a high risk (nos). According to the physician, he did not have cancer. The pt received Engerix-B vaccination (date, dose and series unspecified). It is unclear whether or not the pt developed antigenemia or aplastic anemia. According to the reporting physician, the pt needed a bone marrow transplant. Treatment of the adverse event was not specified. It was reported that "all other therapies failed" (nos). The pt died. All of this had occurred within ten days. The most recent information received on 5/24/2000, reports that the pt died (date and causality of death were not specified). Additional information has been requested.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=152669&WAYBACKHISTORY=ON


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